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This Month's CME Article in Clinical Geriatrics

Gait in Older Adults: A Review of the Literature with an Emphasis Toward Achieving Favorable Clinical Outcomes, Part II
Meredith H. Harris, PT, DPT, EdD, Maureen K. Holden, PT, PhD, Lawrence P. Cahalin, PT, MA, Diane Fitzpatrick, PT, DPT, MS, Susan Lowe, PT, DPT, MS, GCS, and Paul K. Canavan, PT, PhD

Changes in motor skills that occur with aging vary widely. It is generally accepted that many bodily functions decline with age, including the ability to walk. For older individuals, walking is one of the most important factors in maintaining an independent lifestyle and remaining in the community. As aging occurs, there can be distinct changes in gait patterns. There is some controversy in the field as to whether change occurs as a result of aging or as a result of pathology.

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Feature Article

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Annals of Long-Term Care - ISSN: 1524-7929 - Volume 15 - Issue 12 - December 2007
Linda Hiddemen Barondess, Executive Vice-President
The AGS Foundation for Health in Aging
J. Brandon Birath, MA, and Jennifer L. Martin, PhD
Older adults frequently report difficulties with sleep. Despite age-related changes in sleep architecture, extensive research shows that older people are not only more likely to report insomnia, but are more likely to suffer from a number of other sleep disorders, including sleep disordered breathing, periodic limb movement disorder, restless legs syndrome, and circadian rhythm disturbances. While symptoms of sleep disorders are sometimes attributed to normal aging, sleep problems are associated with adverse health outcomes, and therefore should be addressed and treated. Effective treatments are available for sleep difficulties, and treatment of sleep problems can lead to improved quality of life for older people. In the long-term care setting, both daytime and nighttime conditions must be considered in the management of sleep disturbance. (Annals of Long-Term Care: Clinical Care and Aging 2007;15[12]:20-26)
Kenneth Brummel-Smith, MD
Carole Smyth MSN, APRN, BC, ANP/GNP
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